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PHYSICIAN MANAGEMENT SERVICES OF WISCONSIN, LLC
NPI 1306590377
Family Medicine in Lancaster, WI

Active since February 09, 2022
105 E LINCOLN AVE, LANCASTER, WI 53813(888) 829-8550 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physician Management Services Of Wisconsin, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN MANAGEMENT SERVICES OF WISCONSIN, LLC (NPI 1306590377) is a healthcare organization registered as a family medicine in Lancaster, Wisconsin and active in the NPI registry since February 2022. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1306590377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF WISCONSIN, LLC
Location Address105 E LINCOLN AVELancaster, WI 53813-2019
Mailing Address3113 Lawton RdOrlando, FL 32803-3531 · (888) 829-8550
Phone(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1306590377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

105 E LINCOLN AVE, Lancaster, WI 53813
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN E MEZERA LAT, ATC
Specialist/Technologist (Athletic Trainer)
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
ASHLEY LUECKE PA-C
Physician Assistant
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
DR. ERIC G SLANE MD
Family Medicine
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
NEIL T MARTIN MD
Family Medicine
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
KAREN DIANE FARRIS DO
Family Medicine
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
HIGH POINT FAMILY MEDICINE, LLC
Family Medicine
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
DR. ERIC E STADER MD
Family Medicine
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100
JESSICA H VARNAM MD
Family Medicine
105 E LINCOLN AVE
LANCASTER, WI 53813
Grant County (608) 723-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Management Services Of Wisconsin, LLC's NPI number?

The NPI number for Physician Management Services Of Wisconsin, LLC is 1306590377. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Physician Management Services Of Wisconsin, LLC located?

Physician Management Services Of Wisconsin, LLC is located at 105 E Lincoln Ave, Lancaster, WI 53813. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Wisconsin, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Wisconsin, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Network Health list Physician Management Services Of Wisconsin, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physician Management Services Of Wisconsin, LLC was last updated on February 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.